Mccluskey, Edward A

Mccluskey, Edward A is an individual health care provider with primary practice located at 11234 Anderson St , Loma Linda CA 92354-2804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mccluskey, Edward A can be contacted via phone (909) 558-4475.

Contact Information

Primary practice address
11234 Anderson St Loma Linda CA 92354-2804
Phone: (909) 558-4475
Fax: (909) 558-0187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G70496 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X G70496 California

Profile Details

NPI number 1457322380
LBN Legal business name Mccluskey, Edward A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Sep 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457322380 NPPES
Other 808594001 REGENCE
Other O132758 REGENCE
Other 11132427 REGENCE
Other O50073107 REGENCE
Other 57195 REGENCE
MEDICAID 1109156 REGENCE
MEDICAID O57195 REGENCE

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